Mental and Social Health Commons^™

Interdisciplinary Management Of A Patient With Developmental Disabilities Under General Anesthesia In An Academic Dental Surgery Center: A Case Report, Kevin R. Adams, Tim Verceles, Fatima Mashkoor, Jesse W. Manton

Pacific Journal of Health

Background: Individuals with intellectual and developmental disabilities may require dental care to be delivered while under general anesthesia, albeit there is often greater need for these services than hospital capacity allows.

Case Description: This case report presents a 19-year-old male with intellectual and developmental disabilities and numerous comorbidities who was able to be treated under general anesthesia in an academic dental surgery center by an interdisciplinary team. The accompanying discussion identifies strategies that dental teams and academic centers can consider to effectively provide care to patients with intellectual and developmental disabilities who require general anesthesia.

Gatekeeper Perspectives On Suicide Prevention, Anne Woolston

All-Inclusive List of Electronic Theses and Dissertations

Suicide is a profound public health problem across the United States that has lasting effects on individuals, families, and their communities (Centers for Disease Control and Prevention [CDC], n.d.b). Suicide affects all ages and is a serious concern across the life span. However, rates of suicidality are higher among youth. Suicide is the eighth leading cause of death among people 55 to 64 years of age, the fourth leading cause of death for people 35 to 54 years of age, and the second leading cause of death for people 10 to 34 years of age (CDC, n.d.a). Recently, more attention …

Developing Humanistic Clinicians: A Review Of Literature, Andrew Taylor, Willie Capers

The Journal of the Research Association of Minority Professors

Humanistic clinicians possess scientific and technical competence and demonstrate essential virtues like empathy, compassion, patience, love, and courage. Humanistic clinicians are trained with an emphasis on the sciences and the humanities. The humanistic clinician is therefore better equipped to care for patients, the patient’s family members, other clinicians, and themselves. Defining empathy can be problematic due to a lack of consistent definition. Relevant literature regarding empathy was reviewed before settling on a working definition. Several pedagogical approaches encourage the moral development of clinicians. The methods and purpose of those approaches are explained. Illness narratives or pathography is a particular type …

Stress Of Dental Students, Ellen Lee Dds, Ningshu Lyu Dds, Yixin Bao Dds, Yutong Fan Dds, Yueqi Gao Dds, Bryan Gu Dds, Vicky Quach Dds

The New York State Dental Journal

The purpose of this study is to assess what factors cause the most stress for students in dental school and to evaluate different ways to reduce stress. Our aim is to analyze the factors causing stress and offer strategies to help students overcome it.

Summary Of: Improving Vte Risk Assessment: Education And Prophylaxis In Rural Cancer Clinics, Heather M. Feldman, Eswar Tipirneni, Shamima Khan, Steven Ades, Allison Holm, Chris E. Holmes

Northern New England Clinical & Translational Research

•Cancer-associated thrombosis (CAT) is the second leading cause of death in patients with cancer and is preventable •Venous thromboembolism (VTE) risk assessment and preventative treatment in high-risk patients who are at low risk of bleeding are recommended for outpatients with cancer initiating therapy

Contraceptive Hormone Influences On The Role Of Primary Reinforcement And Reinforcer-Enhancement In Nicotine Self-Administration, Kathleen Robin Mcnealy

Dissertations and Doctoral Documents, University of Nebraska-Lincoln, 2023–

Hormonal contraceptives contain a synthetic estrogen (e.g., ethinyl estradiol/EE) and/or a synthetic progestin (e.g., levonorgestrel/LEVO) and can exacerbate nicotine intake. However, whether altered intake reflects changes in nicotine reinforcement or enhancement by nicotine of co-occurring reinforcers is unknown. This reinforcer-enhancement effect is evidenced in rats when nicotine self-administration is increased by the presence of a visual stimulus (VS) reinforcer. This dissertation examined the effects of EE and LEVO on nicotine reinforcement and reinforcer-enhancement in ovary-intact female Sprague-Dawley rats. Rats were implanted with a jugular catheter and assigned to receive daily injections of EE (Vehicle, 0.125 [Low], or 0.18 [High] μg/day; …

Assessing Healthcare Insurance Policies In Mississippi: An Evaluation Of Public And Private Options, Latarsha H. Michael, Brieah D. Hudson

The Journal of the Research Association of Minority Professors

Medicaid is the main payer for maternity care in the U.S., covering nearly half of all births. Federal law provides postpartum coverage for 60 days, but gaps exist, especially in non-expansion states. The American Rescue Plan Act of 2021 allows states to extend Medicaid postpartum coverage to 12 months. Mississippi, where Medicaid covers 65% of births, faces severe maternal and infant health challenges. Despite its surplus, extending postpartum care to 12 months could cost $7 million annually. This study examines private and public health insurance coverage for perinatal care in Mississippi. This involves analyzing how different insurance policies address the …

Individual Liberty, Safety And Police Liabilities Under The Mental Health (Care And Treatment) Act, Gary Kok Yew Chan

Research Collection Yong Pung How School Of Law

How should a society strike a balance between the objective of ensuring safety from dangers that may be posed by individuals believed to have a mental disorder and the deprivation of their liberty? How should police officers discharge their duties in apprehending such individuals with a view to conveying them to a medical practitioner at a psychiatric institution? These legal issues took centrestage in the Singapore High Court decision of Mah Kiat Seng v Attorney-General in which the apprehended individual brought claims in false imprisonment against a police officer. The decision examined the underlying purposes of the Singapore Mental Health …

Management Of Aggressive And Disruptive Behavior In The Emergency Department Using De-Escalation Techniques And Simulation: A Quality Improvement Project To Improve The Knowledge And Confidence Of Emergency Department Nurses And Clinical Staff, Ernestine Darby-Littlejohn

Electronic Theses and Dissertations

Abstract

Approximately 40% of all healthcare workers have reported episodes of violence by patients over the last 2 years. This Veteran’s Health Agency reported 824 disruptive events reported in the last 5 years, of which 56 occurred in the emergency department. Research shows that interventions are not always timely, resulting in the clinical staff requesting the Veteran’s Health Agency Police to intervene when a veteran’s level of stress is escalating. The gap in practice is shown to be related to a lack of knowledge in the clinical staff in managing high stress levels exhibited by some veterans, limited knowledge of …

A Study Of Secondary Traumatic Stress In Health Care Professionals In Long-Term Care., Bethany Proudfoot

Doctor of Social Work Capstone Projects

Secondary traumatic stress (STS) is a significant concern for healthcare professionals in long-term care (LTC) settings. This study explores the impact of STS on clinical staff, addressing the research question: How has STS affected employees within the LTC sector, and what resources or support can be provided to mitigate its effects? The study utilized a mixed-methods approach, combining survey data from clinical staff across five LTC facilities in Ohio, incorporating the survey data measuring levels of STS and qualitative responses. Findings revealed that 64% of participants experienced high to severe levels of STS, with symptoms including anxiety, depression, sleep disturbances, …

N Y State Dent J March 2025

The New York State Dental Journal

In the March 2025 issue, the reader will find the following feature articles:

• Manifestations of Trigeminal Neuralgia Secondary to Multiple Sclerosis in Dentoalveolar Region: Case Report and Literature Review
• Arteriovenous Malformation Presenting as a Disfigured and Throbbing Face: Case Report
• Stress of Dental Students

This issue includes regular columns with regional news impacting the New York membership including: editorial and perspectives columns, legal, association activities, component news, continuing education opportunities, and classifieds.

In this month's update from the New York State Dental Foundation, readers will find a call to action in the article "Volunteers Needed to Join Effort to Alleviate …

Awareness On Environmental Air Pollution Among Adults In Rural Mysuru, Rakesh M, Jesymol Joy, Sunil Kumar D

Digital Journal of Clinical Medicine

Introduction

Air pollution is a major environmental threat and one of the main cases of death among all risk factors known so far. Health effects also include preterm and low-birthweight, asthma as well as cognitive and neurological impairment basically having the potential to impact our whole body, way beyond our lungs. The proposed study focusses on to assess the awareness on air pollution and factors associated with it among adults in South Mysuru which can put a light on the preventive measures and policies to be taken by the individuals as well as the authorities.

Methodology

A Community-based cross-sectional study …

Profiles And Well-Being Of Older Adult Caregivers In Singapore, Yi Wen Tan, Rachel Wen Yi Ngu, Kenneth Choo, Lydia Ng, Wensi Lim

ROSA Research Briefs

In Singapore, the government espouses a “many helping hands” philosophy towards caregiving, where care for older adults is borne by three pillars: the family, the community, and the state (Mehta & Vasoo, 2000). Of these, the family is regarded as the “first line of support”, rendering family caregivers essential to the care of older adults (Ng et al., 2016). Many of these caregivers are themselves older adults, where the average age of caregivers was found to be 62 years (Tan, 2023). As Singapore’s population continues to age, alongside demographic trends of extended longevity and a shrinking population, many more will …

The Wellness Connection March 2025, Roger Williams University School Of Law Office Of Student Life

Life of the Law School (1993- )

No abstract provided.

An Adaptive Antiretroviral Therapy Adherence Intervention For Youth With Hiv Through Text Message And Cell Phone Support With And Without Incentives: A Sequential Multiple Assignment Randomized Trial (Smart), Richard Zhao, Sylvie Naar

Faculty, Staff and Student Publications

Youth living with HIV have low rates of medication adherence. Youth ages 15-24 years with adherence ≤ 80% or with HIV RNA PCRs (VL) ≥ 200 recruited through social media and clinical sites were randomized to brief weekday cell phone support (CPS) calls or daily, two-way, personalized text message (SMS) reminders for 3 months. Those with VL ≥ 200 or adherence ≤ 80% were rerandomized to receive SMS or CPS with monthly incentives for those utilizing the intervention at least 75% of days for 3 months. Those with VL < 200 or adherence > 80% after the initial 3 months were rerandomized to usual care …

Extended-Release Buprenorphine Could Overcome Barriers To Medical Treatment Of Opioid Use Disorder In At-Risk Populations, Scott A. Davis, Genevieve Verrastro, E Blake Fagan

HCA Healthcare Journal of Medicine

This article discusses how monthly extended-release buprenorphine can be used to improve the treatment of opioid use disorder (OUD). In particular, the use of monthly extended-release buprenorphine holds promise for patients who have recently been released from jail or prison and are battling OUD, those who are unstable and continue to use opioids illicitly, patients who are experiencing homelessness while also struggling with OUD, and those who are stable and want to be weaned off buprenorphine.

Psychosocial Burden And Suicidality In Epilepsy: A Public Health Concern, Martha Sajatovic

Faculty Scholarship

The increased risk for psychosocial burden and suicidality in people with epilepsy compared to the general population is a well-established global public health concern. Suicidality risk is also increased in patients with functional seizures. The timely identification of patients at highest risk for psychosocial burden and self-harm is vital. This can pose a significant challenge for multidisciplinary clinicians caring for people with epilepsy. Early identification of social stressors and comorbid psychiatric contributors via screening are required to assist with the development of predictive models for self-harm in epilepsy; and subsequent options for treatment and the provision of adjunct supports in …

Pornography, Problematic Use And Academic Outcomes In College Students: A Cross-Sectional Analysis, Promise Tewogbola, Victoria Bodunde, Deborah Odaudu

Journal of Graduate Education Research

Background: The prevalence of pornography consumption among college students has raised concerns about its potential impact on academic performance. This study aims to examine the relationships between pornography use, academic outcomes, and problematic pornography use among university students.

Methods: A cross-sectional study was conducted with 739 students from a Midwestern U.S. state university. Participants completed an online survey assessing demographics, grade point average (GPA), pornography consumption frequency, Academic Success Inventory (ASI) scores, and Problematic Pornography Use (PPU) scale scores. Logistic and linear regression analyses were used to examine associations between variables.

Results: Pornography consumers had 41% lower odds of …

Sweet Lies: Influence Of Food Marketing On Childrens’ Health And The Need For Reform, Mollie M. Warrington

Honors Theses

Markedly, there is heavy marketing of unhealthy food to children. This has become a significant public health concern because of escalating rates of child obesity, which have long-term consequences for physical health and severe mental health repercussions, such as body image concerns and low self-esteem. This thesis explores how food marketing strategies, historically rooted in television ads and evolving through digital platforms, are linked to children's dietary choices and broader public health implications. It analyzes various manipulative tactics, such as digital advertising, influencer endorsement, and gamification, showing how companies take advantage of the cognitive vulnerabilities of children to propagate unhealthy …

Intersect Between Brain Mechanisms Of Conditioned Threat, Active Avoidance, And Reward, Christopher K Cain

Faculty, Staff and Student Publications

Active avoidance is a core behavior for human coping, and its excess is common across psychiatric diseases. The decision to actively avoid a threat is influenced by cost and reward. Yet, threat, avoidance, and reward have been studied in silos. We discuss behavioral and brain circuits of active avoidance and the interactions with fear and threat. In addition, we present a neural toggle switch model enabling fear-to-anxiety transition and approaching reward vs. avoiding harm decision. To fully comprehend how threat, active avoidance, and reward intersect, it is paramount to develop one shared experimental approach across phenomena and behaviors, which will …

Intraocular Pressure Changes Associated With Psychological Stress Or Anxiety In Both Healthy And Glaucoma-Diagnosed Patients, Triston Crook, Porter Biggs, James Fini, Zane Kingsbury

Annual Research Symposium

No abstract provided.

In-Silico Modeling And Characterization Of Kcc2 Protein Interaction With A Small Molecule Direct Agonist Identifies Potential Binding Sites For Modulating Behaviors Associated With Substances Of Abuse, William Hai Dang Ho, Alfred Amendolara, Kenyon Mitchell, Jaden Miner, Ruth Northcott, Braxton Bingham, Andrew J. Payne

Annual Research Symposium

Purpose

KCC2 is a potassium-chloride cotransporter that plays a critical role in neuronal function by regulating GABAergic signaling via chloride gradients. Maintaining this concentration gradient is crucial for balancing excitation and inhibition in the brain. While KCC2 dysregulation has been implicated in epilepsy and seizures, recent studies suggest that KCC2 inhibition results in phenotypes mirroring those seen in chronic opioid dependence. As such, increasing evidence support KCC2 being a potential therapeutic target for modulating behaviors associated with substances of abuse. Currently, only a few direct small molecule agonists against KCC2 have been reported, and no definitive active site on the …

Benefits Of Equilibrium Between Microbiota- And Host-Derived Ligands Of The Aryl Hydrocarbon Receptor After Stroke In Aged Male Mice, Gary U Guzman, Justin N Nguyen, Anik Banerjee, Bryce E West, Kyung Ae Ko, Janelle M Korf, Chunfeng Tan, Huihui Fan, Gabriela D Colpo, Hilda Ahnstedt, Lucy Couture, Solji Roh, Julia K Kofler, Jose F Moruno-Manchon, Michael E Maniskas, Jaroslaw Aronowski, Rodney M Ritzel, Juneyoung Lee, Jun Li, Robert M Bryan, Anjali Chauhan, Venugopal Reddy Venna, Louise D Mccullough, Bhanu Priya Ganesh

Faculty, Staff and Student Publications

Recent studies have highlighted the crucial role of microglia (MG) and their interactions with the gut microbiome in post-stroke neuroinflammation. The activation of immunoregulatory pathways, including the aryl hydrocarbon receptor (AHR) pathway, is influenced by a dynamic balance of ligands derived from both the host and microbiota. This study aimed to investigate the association between stroke-induced dysbiosis and the resultant imbalance in AHR ligand sources (loss of microbiota-derived [indole-based] and increase of host-derived [kynurenine-based]) after stroke. Microbiota-derived AHR ligands decreased in human plasma and remained low for days following an ischemic stroke highlighting the translational significance. Transient-middle-cerebral-artery-occlusion was performed in …

They’Re Faking It! Diagnosing Mtbis Using A Multimodal Approach, Dakota Muth, Priya Choudhary, Giovani Gourial, Cheryl Vanier, Alan Rodriguez, Travis Snyder

Annual Research Symposium

Purpose: Mild traumatic brain injury (mTBI) affects 69 million people annually worldwide. A significant subset of those affected will develop long-term sequelae that can seriously impact quality of life and lead to other health problems. Clinical diagnosis of mTBI is complicated by patient malingering, subjective symptomatology, and variable patient reporting. This review aimed to evaluate the potential effectiveness of combining advanced neuroimaging techniques with psychometric testing and blood biomarker analyses for developing a more objective and comprehensive mTBI assessment protocol.

Methods: A review was conducted using PubMed as the primary database, analyzing studies published between 2015 and 2023. Included studies …

How Do Gender And Marital Status Impact High-Risk Polysubstance Use?, Kira England, Alexander Chapman

Population Health Research Brief Series

Drug overdose deaths in the United States increasingly include the use of multiple drugs, known as polysubstance use. These include opioids, cocaine, methamphetamine, tranquilizers, and sedatives. Polysubstance use is considered high risk because it can cause dangerous synergistic effects and result in the ingestion of higher amounts of drugs. This brief summarizes findings from a study that used data from the National Survey on Drug Use and Health on U.S. adults from 2002 through 2019 to examine gender and marital status differences in high-risk polysubstance use among U.S. adults ages 18 and older. The authors find that polysubstance use is …

Your Healthiest Year Yet: Practical Tips For Mental And Physical Well-Being, Aaron Hunt

All Current Publications

As a new year begins, it’s important to prioritize our health. In a world that continues to evolve, maintaining mental and physical wellness is key to thriving in both personal and professional life. Small, intentional changes can lead to transformative results, improving not only how we feel but also how we connect, grow, and succeed. This guide presents actionable tips for fostering mental clarity, physical strength, and overall balance, all grounded in evidence-based practices. Whether you're looking to boost your fitness, reduce stress, or enhance your daily routines, these strategies will empower you to make this year your healthiest yet.

Investigating The Impact Of Shift Work On Circadian Rhythms And Health In Healthcare Workers, Dominique Gillette, Grace Godfrey, Jacob Godfrey, Angela Nguyen, Hannah Gewaid, Carissa Salamatin, Sharon Sengphanith, Samuel Park, Colin Burton, Neha Doppalapudi, Daniel Oraee, Deborah Bell-Pedersen

Annual Research Symposium

This poster presentation aims to discuss how working the night shift contributes to health risks through the disruption of circadian rhythm in healthcare workers. We hope to gain insight on the relationship between these disturbances and the circadian clock in order to establish strategies that optimize healthy lifestyles for healthcare workers.

Mindfulness-Based Interventions And Stress, Jacqueline Parker

Doctor of Nursing Practice Final Project Abstract

Purpose: Stress within the nursing profession is a substantial issue. Staff shortages, poor leadership, and even COVID-19 have contributed to an increase in nursing stress. Stress can negatively impact a nurse’s ability to perform at an optimal level while at work. The purpose of this project is to reduce perceived stress by implementing mindfulness-based interventions (MBI).

Background: The project was implemented in a twenty-three-bed unit that cares for the post operative pediatric population in Houston, Texas.

Methodology: A series of in-person and virtual educational lessons (eight total) on MBIs (with flyers) were implemented throughout this project. The Perceived Stress Scale …

Findings From A National Assessment To Support Implementation Of Cooperative Extension’S 2021 National Framework For Health Equity And Well-Being, Diana Charbonneau, Kerry Gabbert, Latoya O'Neal, Dawn E. Burton, Maggie Jones, Kate Katzman, Roger Rennekamp

Journal of Extension

Cooperative Extension’s National Framework for Health Equity and Well-Being provides a roadmap for improving the health of communities. Core concepts include installing health equity a systemwide value and catalyzing community-level changes that ensure all people have an opportunity to be as healthy as they can. This article presents findings from a national readiness assessment for implementing the Framework across Extension. Results from a literature scan, national survey, and regional listening sessions identified internal facilitators and barriers to adoption. The article provides ideas for how Extension practitioners can engage in this work and shares an action plan developed from assessment results.

Counseling Students’ Perceptions Of Support During The Covid-19 Crisis: A Qualitative Study, Breahannah Hilaire, Galaxina G. Wright, Lea H, Laurie O. Campbell

Journal of Counselor Preparation and Supervision

The COVID-19 pandemic changed the counseling programs in clinical instruction, mentorship, and student’s perception of the university. The qualitative data presented in this paper identifies eight counseling students’ beliefs of support during their time in counseling program during the COVID-19 pandemic. Data was obtained through semi-structured interviews. An interpretive phenomenological analysis resulted in four themes: including higher education response, personal resources, emotions in crisis, and transitions in crisis.